Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-25T06:50:04.107Z Has data issue: false hasContentIssue false

Dangerous Episodes occurring around the Time of Discharge of Four Chronic Schizophrenics

Published online by Cambridge University Press:  29 January 2018

George S. Stein*
Affiliation:
Cane Hill and Farnborough Hospitals, Farnborough Common, Orpington, Kent BR1 8ND; Honorary Senior Lecturer, King's College Hospital

Summary

Four patients with severe drug resistant chronic schizophrenia all committed a dangerous act around the time of their discharge from hospital. Discharge from a long stay ward may be an important life event and might therefore be expected to be associated with some depression. Detection of depression among vulnerable schizophrenics may be important if suicide or other dangers are to be prevented.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1982 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barraclough, D., Bunch, J., Nelson, B., & Sainsbury, P. (1974) A hundred cases of suicide: Clinical aspects. British Journal of Psychiatry, 125, 355–73.CrossRefGoogle ScholarPubMed
Barton, R. (1959) Institutional Neurosis. Bristol: John Wright.Google Scholar
Brown, G. W. & Harris, T. (1978) Social Origins of Depression. London: Tavistock.Google ScholarPubMed
Brown, G. W. Birley, J. T. & Wing, J. K. (1972) The influence of family life on the course of schizophrenic disorders. British Journal of Psychiatry, 121, 241–58.Google Scholar
Fernandez, J. (1973) Fatal self injurious behaviour in a rehabilitation programme. British Journal of Psychiatry, 123, 613.Google Scholar
Goffmann, E. (1961) Asylums: Essays on the Social Situation of Mental Institutions and their Inmates. New York: Double Day.Google Scholar
Hirsch, S. R. (1982) Depression revealed in schizophrenia. British Journal of Psychiatry, 140, 421–24.Google Scholar
Johnson, D. A. W. (1981) Studies of depressive symptoms in schizophrenia. British Journal of Psychiatry, 139, 89101.Google Scholar
Johnstone, E. C., Owens, D. G., Gow, A., Crow, T. J. & Macmillan, F. (1981) Institutionalisation and the defects of schizophrenia. British Journal of Psychiatry, 39, 195203.Google Scholar
Knights, A., Okasha, M. S., Salih, Mohamid Ali & Hirsch, S. R. (1979) Depression and extrapyramidal symptoms and clinical effects. A trial of fluphenazine versus flupenthixol in the management of schizophrenic outpatients. British Journal of Psychiatry, 135, 515–23.CrossRefGoogle Scholar
Markowe, M. & Heyworth Davies, F. (1967) Insulin and chlorpromazine in schizophrenia. A ten year study. British Journal of Psychiatry, 113, 1101–6.CrossRefGoogle Scholar
Paykel, E. S. (1974) Recent life events and clinical depression. In Life Stress and Psychiatric Illness (eds. Gundeson, E. K. and Rahe, R. H.), pp. 134–63. Springfield, Illinois: Charles C. Thomas.Google Scholar
Stone, A. A. & Eldred, S. H. (1959) Delusion formation during the act of rehabilitation of chronic schizophrenic patients. Archives of General Psychiatry, 1, 177–9.Google Scholar
Tsuang, M. T., Winokur, G. & Crowe, R. R. (1980) Morbidity risks of schizophrenic and affective disorders among any first degree relatives of patients with schizophrenia, mania, depression and surgical conditions. British Journal of Psychiatry, 137, 497504.CrossRefGoogle ScholarPubMed
Wilkinson, D. G. (1982) The suicide rate in schizophrenia. British Journal of Psychiatry, 140, 138–41.Google Scholar
Wing, J. K., Bennett, D. H. & Denham, J. (1964) The industrial rehabilitation of long stay schizophrenic patients. Medical Research Council Memo, No. 42. London: HMSO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.